Organization
DR. RYAN MAYNARD CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN MAYNARD D.C. (OWNER)
(606) 886-3737
Entity
Organization
Contact information
Practice address
81 HAGER BR RD, EAST POINT, KY 41216
(606) 886-3737
(606) 886-3722
Mailing address
PO BOX 1774, PRESTONSBURG, KY 41653-5774
(606) 886-3737
(606) 886-3722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252597
BCBS
KY
05
—
85002400
—
KY
Enumeration date
11/05/2007
Last updated
08/10/2015
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